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Get Dr 2153 2007-2024

F the person(s) who committed this fraud. 8. My signature below authorizes the release of this information to law enforcement for the purpose of assisting them in the investigation and prosecution of the persons who committed this fraud. 9. (check all that apply) I have reported the events described in this affidavit to the police or other law enforcement agency. The police did did not write a report. Please complete the following: Agency Number 1 Officer/Agency personnel taking report Repo.

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